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Organization

OPTIMOM HEALTHCARE LLC

Active
Other names
Optimom HealthCare LLC
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL L BANGURA OWNER (CHIEF FINANCIAL OFFICER)
(281) 905-8277
Entity
Organization

Contact information

Practice address
10101 HARWIN DR STE 322, HOUSTON, TX 77036-1686
(281) 513-0068
(281) 416-4735
Mailing address
6119 KNOLLWEST DR, HOUSTON, TX 77072-1021
(832) 672-4903

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
253Z00000X
In Home Supportive Care Agency
Primary
311ZA0620X
Adult Care Home Facility
3747P1801X
Personal Care Attendant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
648953782
SECRETARY OF STATE
TX
01
HHS000004900867
001031105
TX
Enumeration date
10/12/2018
Last updated
12/30/2025
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